Syndrome of Lasthénie de Ferjol

The syndrome of Lasthénie de Ferjol is a factitious disorder (or Pathomimie) described in 1967 by Doctor Jean Bernard. The name of this syndrome taking again that of the heroin of “History without name” of Barbey d' Aurevilly.

A pathomimesis only corresponds to the symptoms of the patients seeking to go voluntarily sick themselves. In the particular case of the syndrome of Lasthénie de Ferjol, they are generally patients, close to the medical environment, seeking to cause a Anémie. The means to arrive there require stratagems varied such as the repetitive blood donation and from scarifications under anticoagulant. Anemia obtained makes it possible to obtain in secondary benefit to be the center of the medical concerns of the consulted doctor. The patient having for satisfaction a multiplication of generally negative diagnostic explorations.

Anemia is a Hémorragie of deprivation, microcytaire, hypochromic and regenerative. The assessment etiologic of anemia is generally negative, not making it possible to find the origin of the bleedings. The diagnosis is suspecté in front of the profile of the patient and the negativity of diagnostic explorations. A hospitalization of the patients makes it possible to put an end to the strategies which these patients use to lose of blood and a food complementation in Fer quickly improves the rate of hemoglobin.

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